# HEART GROUP OF THE EASTERN SHORE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael S. Purlsey MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609095157
- **Authorized official:** DR. MICHAEL S PURSLEY MD (PRESIDENT/OWNER)
- **Authorized official phone:** (251) 990-1920

## Contact information

- **Practice address:** 150 S. INGLESIDE STREET, \#4 MEDICAL PARK, FAIRHOPE, AL 36532-1804
- **Practice address phone:** (251) 990-1920
- **Practice address fax:** (251) 990-1921
- **Mailing address:** PO BOX 850266, MOBILE, AL 36685-0266
- **Mailing address phone:** (251) 990-1920
- **Mailing address fax:** (251) 990-1921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 25610 | AL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 12/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009936433 | — | AL |
| 05 | — | 009936434 | — | AL |
| 05 | — | 009936436 | — | AL |
| 05 | — | 009936467 | — | AL |
| 05 | — | 051554382 | — | AL |
| 05 | — | 05538519 | — | MS |
| 01 | — | 1467430777 | NPI | AL |
| 01 | — | 1609095157 | GRP NPI | AL |
| 01 | — | 1689678674 | BRAND NPI | AL |
| 01 | — | 51503479 | BC/MC | AL |
| 01 | — | 51541652 | MEDICARE BRAND | AL |
| 01 | — | 529927690 | GRP MEDICAID | AL |
| 01 | — | DE4413 | RR MEDICARE FOR GROUP | AL |
| 01 | — | K814 | MEDICARE GRP | AL |
| 01 | — | P00082012 | RR MEDICARE | AL |